Individual
MRS. LAUREN MARIE BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6802 BISHOPS POINTE WAY, RIVERVIEW, FL 33578-8387
(407) 489-5111
Mailing address
6802 BISHOPS POINTE WAY, RIVERVIEW, FL 33578-8387
(407) 489-5111
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363AM0700X
Medical Physician Assistant
Primary
9121160
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2020
Last updated
04/30/2026
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